Individual
DR. AGNIESZKA A KLECZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
4621 SALMON ST, PHILADELPHIA, PA 19137-2123
(267) 809-1644
Mailing address
4621 SALMON ST, PHILADELPHIA, PA 19137-2123
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY016016
PA
Other
Enumeration date
07/19/2006
Last updated
03/23/2009
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